APRN.

APRN. DNP, RN, APRN, NP

Family Practice, Mental Health

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All Content by APRN.

  1. Ever had a nursing instructor hate you?

    People more attention pay, to what you do, than what you say. Don't let yourself become a target. You can attempt to prevent this by practicing at keeping verbal and nonverbal communication to a...
  2. CPOE computer physician order entry

    The facility where I work utilizes CPOE. What a joke. Without the backing of administration to force MD's to input their own orders, all CPOE created was more work for the RN's who had to learn how...
  3. Pet Nurse?!

    When I was younger and immersed in kids and cleaning up messes and getting bills paid and cooking and so on, I didn't have the time nor the energy to care about what it meant to be a practicing...
  4. PA speaks poorly of RN's

    You obviously are not familiar with the Bay Area, California.
  5. QUESTION?

    What kind of support staff will you have? Do you have an MDS coordinator, Staffing Coordinator, Administrative Assistant and such? If so, do a little investigating. Try and find out what the...
  6. Paint a picture with words.....no matter how "colorful" they are. A large part of our charting at this time, versus historical nurse's charting, is to please the court. When you chart, you want to...
  7. Problems with shift to shift report

    Most respectfully; SBAR was originally used by the military and aviation industries. It was then, later, adapted for use in healthcare by Kaiser in CO. To digress, if you want to stay on task with...
  8. How soon we forget.

    Here's a provocative statement; How about a mandate that states that if you are a nurse, you must pay union dues, irregardless of whether or not your hospital even has anything to do with a union? If...
  9. PA speaks poorly of RN's

    Never underestimate the power of
  10. How soon we forget.

    I cannot imagine getting fined by the government for not purchasing car insurance - when I don't even own a
  11. Ativan IVP given undiluted into central line.

    I've given ativan IVP undiluted many times. For my PICC lines, I'll draw 2mg up in a 12cc syringe (only because we don't seem to have any 10 cc syringes in stock in our ICU). Our Ativan drips come...
  12. Trop and CK-MB levels

    Perhaps the whacky levels began in the lab? ......As in, the tubes accidently got switched with someone else? (We had a new lab tech not too long ago, and it
  13. I have a question to nurse that smoke

    When you smoke, you stimulate both the nicotinic receptors in the parasympathetic and the sympathetic nervous system. Rest and Fight at the same time. You may think you're "more relaxed", but you...
  14. RN vs. LPN scope conflict: what would you do?

    I would immediately stop any hint of the LVN's initiating any care plans, pronto. The LVN's can contribute to the care plan. This is a number one priority. Any admission/initial assessments need to...
  15. My advice to you, if you are set on becoming a nurse, is to go straight for your RN. I was a CNA, then an LPN. I moved, and was an LVN (same thing, different state), then an RN. I had children, went...
  16. Burning Bridges REDO

    I do not recommend that you use this supervisor for a recommendation. You cannot undo a poor report, however, you can prevent a poor report from getting in the hands of a future employer by not...
  17. med/surg

    You can receive a great deal of time management skills by working in Med/Surg. Imagine for a moment, coming to clinicals and finding out that you, the nursing student, have 8 patients that you are...
  18. Most Bay Area hospitals in California will not give you any credit for being and LVN, no matter how many years of experience you have working in Med/Surg and other areas of acute care in the hospital....
  19. If we had a conservative nurses forum

    Conservative Here!!
  20. Rude docs - not letting it get to you

    My favorite; "Oh wait...let me take you off speakerphone...I'm here with the patient's family......" (Of course....I don't actually have the doc on
  21. What does your username mean?

    I figured that I would ® my username before someone else came up with the idea.
  22. Handling delegation

    Here's some food for thought; which, upon it's face may seem to having nothing to do with the nature of this post, but I think it is relevant; I work in the ICU. I have patient's on cardiac monitors,...
  23. Doctors cannulate the artery for an arterial line. (As do some trained Nurse Practitioners in my state of CA.). RT's and RN's can perform arterial sticks for the purposes of drawing out a tiny...
  24. Nurse with Body Odor

    It's getting close to Christmas. How about putting together a beautiful gift basket of all sorts of different deodorants, fru fru-ey body washes and some perfume. You can make it look very pretty...
  25. retaliation after resignation?

    There is a way that you can avoid this, but not every one would agree on ethical grounds. Only you know how appropriate the course of action is; You have sick time built up? Two weeks worth? - Then...